scholarly journals COMPARISON OF IMAGE FINDINGS WITH HISTOPATHOLOGICAL DIAGNOSIS ON ULTRASOUND GUIDED PERCUTANEOUS LIVER BIOPSY IN RELATION TO HEPATOCELLULAR CARCINOMA

2018 ◽  
pp. 192-195
Author(s):  
Jana S. Hopstaken ◽  
Leon de Jong ◽  
Jurgen J. Fütterer

Abstract Purpose For the safety and success of an ultrasound-guided percutaneous liver biopsy, needle visibility and needle tip identification are critical. The aim of this pilot study was to evaluate the influence of an innovative echogenic sheath placed over a standard biopsy needle on needle visibility in ultrasound imaging. Materials and methods Ultrasound videos of three sheaths with different coating characteristics (echogenicity) and one conventional liver biopsy needle were recorded at two angles (30° and 60°) and two depths (5 and 10 cm) in a human cadaver. The videos were blinded for needle type and presented to five independent radiologists who used Likert-scale scoring to rank each video for six characteristics on needle visibility. In addition, a phantom model was used to acquire standardized images for quantitative evaluation of the ultrasound visibility. Comparative statistical analysis consisted of a one-way ANOVA. Results The three prototype sheaths were ranked higher than the control needle at 60° with 5 cm depth, with an equal performance for the other conditions. The radiologists expressed more confidence in taking a biopsy with the echogenic sheaths than with the control needle, with 1 Likert score difference at 30°. Contrast analysis in the phantom model showed a statistically significant effect of a sheath (p = 0.004) on echogenic intensity. Conclusion This pilot study suggests that the use of an echogenic sheath may increase needle visibility, particularly for trajectories requiring steeper insertion angles. To investigate the superiority of the echogenic sheath over conventional needles, a clinical study is necessary.


2001 ◽  
Vol 18 (3) ◽  
pp. 225-227 ◽  
Author(s):  
Takahiro Uenishi ◽  
Shoji Kubo ◽  
Kazuhiro Hirohashi ◽  
Hiromu Tanaka ◽  
Kazuki Ohba ◽  
...  

2021 ◽  
Vol 116 (1) ◽  
pp. S529-S530
Author(s):  
Daryl Ramai ◽  
Antonio Facciorusso ◽  
Maria Bellocchi ◽  
Laura Bernardoni ◽  
Erminia Manfrin ◽  
...  

2021 ◽  
Vol 54 (3) ◽  
pp. 165-170
Author(s):  
Ricardo Holderbaum do Amaral ◽  
Fabrice C. Deprez ◽  
João Pedro Dalla-Bona ◽  
Guilherme Watte ◽  
Rômulo Santos Roxo ◽  
...  

Abstract Objective: To evaluate variables affecting the need for analgesia after ultrasound-guided percutaneous liver biopsy performed on an outpatient basis. Materials and Methods: This was a retrospective analysis of 1,042 liver biopsies performed between 2012 and 2018. The data collected included the age and sex of the patient, as well as self-reported pain in the recovery room, the pain treatment used, the indication for the biopsy, and the lobe punctured. As per the protocol of our institution, physicians would re-evaluate patients with mild pain (1-3 on a visual analog scale), prescribe analgesics for those with moderate pain (4-6 on the visual analog scale), and prescribe opioids for those with severe pain (7-10 on the visual analog scale). Results: The main indications for biopsy were related to diffuse disease (in 89.9%), including the follow-up of hepatitis C (in 47.0%) and suspicion of nonalcoholic steatohepatitis (in 38.0%). Pain requiring analgesia occurred in 8.0% of procedures. Of the 485 female patients, 51 (10.5%) needed analgesia, compared with 33 (5.9%) of the 557 male patients (p < 0.05). The need for analgesia did not differ in relation to patient age, the lobe punctured, or the indication for biopsy (nodular or diffuse disease). The analgesic most commonly used was dipyrone (in 75.9%), followed by paracetamol alone (16.4%) and their combination with opioids (7.6%). Conclusion: Ultrasound-guided percutaneous liver biopsy is safe and well tolerated. Postprocedural pain does not correlate with the lobe punctured, patient age, or the indication for biopsy and appears to affect more women than men.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Lorenzo Mulazzani ◽  
Eleonora Terzi ◽  
Giacomo Casadei ◽  
Valentina Pasquali ◽  
Cristina Felicani ◽  
...  

2004 ◽  
Vol 14 (11) ◽  
pp. 2086-2091 ◽  
Author(s):  
Patrick Chevallier ◽  
Frederic Ruitort ◽  
Alban Denys ◽  
Pascal Staccini ◽  
Marie Christine Saint-Paul ◽  
...  

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